James Burton Paulson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OB008664 Issued in PA

Practice address

135 Erie St
Edinboro, PA 16412-6011

Phone

(814) 734-6161

Fax

(814) 734-6363

NPI assigned

Nov 2, 2006

Last updated

Jan 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Art of Eyecare PCGroup PAC ID 3173588191, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Art of Eyecare, PC

  • Optometrist
  • Hermitage, PA
  • NPI 1629156823
  Medicare reassignment Care Compare group NPD Authorized official
• Blaney Vision Center LLC

  • Optometrist
  • Corry, PA
  • NPI 1245578418
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1033297221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 ERIE ST",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164126011",
            "telephone_number": "814-734-6161",
            "fax_number": "814-734-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 ERIE ST",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164126011",
            "telephone_number": "814-734-6161",
            "fax_number": "814-734-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "JAMES",
        "middle_name": "BURTON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OB008664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Daniel Oblinski, LPC
• Kelly A Ohmer, DPT
• Penelope P Orr, PH.D, LPC, ATR-BC,
• Pamer Family Chiropractic & Wellness
• Pathways Nwpa LLC
• Summer Renae Payer
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy 05095)
• Carrie J. Petkac, M.A., L.P.C.
• Megan Michelle Phillips, LCSW
• Paige A. Pilewski, MS, OTR/L

• Optometrist in Edinboro, PA
• Providers in Edinboro, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.